PAUL TUGULUMIZE KIRUUTA FNP
NPI 1124562939
Nurse Practitioner - Family in Modesto, CA

Active since December 13, 2016PECOS Enrolled
1114 6TH ST, MODESTO, CA 95354(209) 576-2845(209) 576-8842 Get Directions Write a Review

NPPES record last updated: August 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2017, Jan 30, 2017, Dec 13, 2016 (3 updates tracked since 2016).

About Paul Tugulumize Kiruuta Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL TUGULUMIZE KIRUUTA FNP (NPI 1124562939) is an individual family provider in Modesto, California, licensed in California (NP95006004) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124562939
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePAUL TUGULUMIZE KIRUUTACredential: FNP
Location Address1114 6TH STModesto, CA 95354-2203
Mailing Address2637 Shadelands DrWalnut Creek, CA 94598-2512 · (925) 948-8143
Fax(209) 576-8842
Sole ProprietorNo
Enumeration DateDecember 13, 2016
Last NPPES UpdateAugust 25, 20173 updates tracked since enumeration
NPI 1124562939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · NP95006004
Also ListedRegistered NurseTaxonomy 163W00000X · License RN95078148 (CA)
1114 6TH ST, Modesto, CA 95354

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Paul Tugulumize Kiruuta Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1114 6TH ST
MODESTO, CA 95354
Nurse Practitioner
1114 6TH ST
MODESTO, CA 95354
Nurse Practitioner (Family)
1114 6TH ST
MODESTO, CA 95354
Social Worker (Clinical)
1114 6TH ST
MODESTO, CA 95354
Obstetrics & Gynecology
1114 6TH ST
MODESTO, CA 95354
Social Worker (Clinical)
1114 6TH ST
MODESTO, CA 95354
Physician Assistant (Medical)
1114 6TH ST
MODESTO, CA 95354
Nurse Practitioner
1114 6TH ST
MODESTO, CA 95354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Kiruuta's NPI number?

The NPI number for Paul Kiruuta is 1124562939. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Where is Paul Kiruuta located?

Paul Kiruuta practices at 1114 6th St, Modesto, CA 95354. The listed phone number is (209) 576-2845.

What is Paul Kiruuta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Paul Kiruuta enrolled in Medicare?

Yes. Paul Kiruuta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Kiruuta was last updated on August 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.